What are the substances that lead to Use Disorders?
What are the concepts of addictive use disorders?
What is the DSM-5 criteria/definition for/of addiction? How is it measured?
The DSM-5 combines criteria for substance dependence and abuse
it is measured on a continuum from mild to severe
Definition: the continued use of any mind altering substance despite the negative consequences
criteria: evidence of tolerance and withdrawal. taken in larger amounts over a longer time than intended.
unsuccessful attempts to cut down
great deal of time spent obtaining substance. Use continued despite knowledge of physical/ psychological problems
What Axis does addiction fall under? What is primary addiction? progressive? Chronic? When is it considered fatal?
primary: can be diagnosed alone; most often co-morbid with bipolar???????
Progressive: different rates for different people
Chronic: have the disease forever; addictive for entire life
Fatal: when death is 15 years pre-mature
What are the common myths of addiction?
"I only drink beer"
"I don't drink that much in one setting?"
I don't drink every day
I have a good job, I can't be addicted
I am a nurse
I only smoke cigarettes
What does substance abuse mean? dependence?
Abuse: use wrongfully or in a harmful way
Dependence: compulsive/chronic requirement
What is the most prevalent substance of abuse? What is the most common drug taken to change how a person feels?
What percentage of people in the US will be involved in a MVA due to ETOH? What percentage of adult populations have been exposed to alcoholism in their families? How much more likely are children of alcoholics to develop alcoholism? How much high is the suicide rate?
MVA due to ETOH: 65%
exposed to alcoholism in families: 43%
COA: 4x more likely to become alcoholic
Suicide: 4x higher in alcoholics
What is the psychodynamic theory of addiction? Is there an addictive personality?
Common factors: tolerance for frustration, pain are low. Self esteem and self regard are low.
lack of success in life
lack of meaningful relationships
*****What is dual-diagnosis? What population has the highest incidence of dual diagnosis?
An axis 1 diagnosis occurring with another axis 1 substance abuse disorder
how does the treatment differ for addiction? what is the average number of detoxs? How should addiction be viewed?
It is rehabilitation not a cure
average addict will have 6 detoxifications
helpful to view addiction as chronic illness
What is the only substance where an objective measurement of intoxication exists?
What is the legal alcohol blood level? at what level will you see coma? At what level is death possible?
.08% is the legal
.40% is coma
.50 and higher is death
What assessments can be used for addiction?
What are the types of rehabs?
intensive outpatient treatment
What is the CAGE tool? What does it determine?
2 or more = an 85% prediction rate of addiction
What are the components of SBIRT?
S: screening-use standardized screening tools
B I: brief intervention- discuss the risks associated with use of substance
RT:referral to treatment- suggest referral for a positive screen
What is Wernicke-Korsakoff syndrome? What are the manifestations?
memory disorder caused by an inadequate intake of thiamine and a continuation of carbohydrate consumptions.